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1609966613
LARRY BERGERE
FAYETTEVILLE, GA
NPI
1609966613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 44166)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
LARRY BERGERE M.D.
105 CARNEGIE PL ST 103
FAYETTEVILLE, GA 30214-3980
Phone number: 770-716-7999
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Mailing Address
LARRY BERGERE M.D.
105 CARNEGIE PL ST 103
FAYETTEVILLE, GA 30214-3980
Phone number: 770-716-7999
Copy
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